Wild River 5K Run/Walk Registration
Saturday, October 14, 2017 -- Race begins at 10:00 a.m.
Please be at the Picnic Area by 9:45 to sign-in and get your bib and number.

      * indicates a required field.
* Participant First Name:     * Last Name:
Note: the above name is for the participant, not necessarily the billing / credit card holder's name.
If the billing name is different for PayPal, please enter it below so we can match participant to billing:
Billing First Name:     Last Name:
Street Address:
City:     State:     Zip:
Phone:     Email:
* Division: Female        Male
* Age: under 12        12-24        25-50        51 and over
* T-shirt size (if any): Small        Medium        Large        X-Large        None
Note: ordering a T-shirt will result in an $8 to $10 additional charge.
Add to Mailing List: Check here to be added to Park and to Friends email lists.
* Disclaimer: The Wild River 5K Run will route participants on both paved and non-paved surfaces.
By participating in this event, you understand the risks involved with trail running and individually take
all precautions necessary. Should injury occur, neither the Friends of Wild River State Park, nor the Parks
and Trails Council of Minnesota, nor Wild River State Park will be held liable.
Please check this box to confirm that you understand these terms of liability.
      

NOTES:
   Cost: On or before October 1: $20 ($28 with T-shirt)
              After October 1 until Race Day: $25 ($35 with T-shirt)
              Friends Member Discount: a free T-Shirt! (an $8 savings)

   A $5 daily or $25 annual Minnesota State Park permit is required on all vehicles entering the park (this is
   not included in the Wild River 5K Run registration fee).

   Your contact information (street address, email address, phone number) will only be used to relay
   information about this event to you and other participants.

   If you have any questions or comments, please call the Park Naturalist, Mike Dunker, at
   651-583-2125 - ext. 227 or email the Friends group at info@friendsofwildriver.org

This annual fun event is organized and sponsored by: